Substance Use In Adolescents

In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the October 2023 Pediatric Emergency Medicine Practice article, Substance Use in Adolescents: Recognition and Management in the Emergency Department and the October 2023 Emergency Medicine Practice article, Evidence-Based Emergency Department Management of Migraine and Other Primary Headaches

Substance Use In Adolescents


Risk Factors

Differential Diagnosis

Prehospital Care

ED History and Physical Exam

Urine Drug Screen


  • Marijuana
  • Alcohol
  • Methaphetamines
  • MDMA
  • Cocaine
  • Opioids


Migraine and Other Primary Headaches


Cluster Headaches

Medication Overuse Headache

Nerve Blocks

  • Greater Occipital
  • Sphenopalatine Ganglion

Pregnant Patients


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